Family Planning
We offer a comprehensive range of reproductive care benefits and services.
Supporting your family’s journey
Whether you’re starting a family today or in the future, our reproductive care benefits can help. We’re here to support your family’s journey every step of the way.
Reproductive Services
No one pregnancy is the same and we’re here to support them all. Explore our range of reproductive services.
Artificial Insemination
We cover the following artificial insemination (AI) procedures once you receive prior approval:
- Intracervical insemination (ICI)
- Intrauterine insemination (IUI)
- Intravaginal insemination (IVI)
IVF Drug Cycles
Members diagnosed with infertility can receive up to three (3) annual drug cycles for in vitro fertilization (IVF).
You must receive prior approval and buy your prescriptions through our pharmacy programs.
Sperm and Egg Storage
If you’re facing iatrogenic infertility (infertility caused by a medically necessary medical or surgical intervention used to treat a condition or disease), we will cover one (1) year of sperm and egg storage, including procurement procedures once per lifetime.
Assisted Reproductive Technology
For FEP Blue Standard® members diagnosed with infertility, we cover the following assisted reproductive technology (ART) procedures up to $25,000 annually, once you receive prior approval:
- In vitro Fertilization (IVF)
- Gamete Intrafallopian Transfer (GIFT)
- Zygote intra-fallopian transfer (ZIFT)
- Pronuclear stage tubal transfer (PROST)
Fertility services
We cover any other FDA-approved service for fertility, including but not limited to the following services:
- Assisted embryo hatching
- Cryopreservation of sperm, embryo(s), testicular tissue
- Culture of oocyte(s)/embryo(s)
- Embryo/oocyte/sperm/tissue storage
- Follicle puncture for oocyte retrieval
- Microsurgical epididymal sperm aspiration
- Oocyte fertilization
- Oocyte identification
- Oocyte insemination
- Preparation of embryo and transfer
- Sperm identification
- Sperm isolation and prep
- Sperm procurement
- Sperm washing
- Thawing services
- Ultrasonic guidance for aspiration of ova
Voluntary family planning services
We cover a range of voluntary family planning services at no cost, limited to these services when prescribed by a doctor.
- Contraceptive counseling
- Diaphragms and contraceptive rings
- Injectable contraceptives
- Intrauterine devices (IUDs)
- Implantable contraceptives
- Salpingectomy
- Tubal ligation or tubal occlusion/tubal blocking procedures only
- Vasectomy
Contraception Coverage
View what contraception coverage is included under your benefits. If you have difficulty accessing contraceptive coverage or other reproductive healthcare, you can email contraception@opm.gov.
Exception Forms
View the necessary forms for the contraception exception process and the family planning exception process.
